"This chapter surveys the impact of ableism on the sexual, reproductive, and parenting rights of people with intellectual disabilities (ID). Entrenched within societal attitudes and structures, ableism creates barriers that hinder the full realization of fundamental human rights. First, the chapter explains ableism, its adverse effects on people with ID, and how ableism lays the groundwork for eugenic ideologies and practices. Then, it examines how ableism constrains the sexual lives of people with ID, exploring pervasive stigmas, stereotypes, and misconceptions that perpetuate their marginalization and disempowerment in matters of sexuality. Next, it explores ableism’s influence on access to reproductive health services and decision-making autonomy. Thereafter, the chapter analyzes challenges and discriminatory practices confronted by people with ID in relation to parenting. Following a critical examination of inequities, the chapter concludes by offering recommendations to dismantle ableism’s impact on the sexual, reproductive, and parenting rights of people with ID by transforming laws, policies, and practices."